HomeMy WebLinkAbout0155802-Electric (low voltage) /�'� CITY OF OSHKOSH No 155802
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 315 W MURDOCKAVE Owner WALTRUST PROPERTIES INC Create Date 05/22/2013
Contractor Y R INTEGRITY INC Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service � New � Change � Temp � N/A �I Type � Overhead � Underground �I
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances j ---- — ---- --- ----
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Use/Nature of OMM\Installing a utility trench from walgreen's reader-board exterior sign into the building for LV communication
Work
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Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $104.00
Issued By: � Date 05/24/2013
� Permit Voided I Parcel Id# 1501840000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the C' osh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
describ d in this permi application within an easement,the City strongly urges the permit applicant to contact the easement
holder( and to s�cu any nece ary app vals be ng such 'vity.
Signature � � Date
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Agen wner
Address 5501 B NORTHWEST WHY ___ _CRYSTAL LAKE IL 60014 -0 _ Telephone Number (815)526-3486
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
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City of Oshkosh
Division of Inspection Services � �
P.O.Box 1130 �
Ostilcosh,WI 54903-1130 ;
Phone(920)236-5050 :
Fax (920)236-5084 L1V �J
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ON THE WATER .
LOW VOLTAGE ELECTRICAL PERMIT APPLICATION
All informarion aRer bold categories must be provided.
Incomplete appiications will not be processed.
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• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128, �
Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$]00.00 plus the '
normal permit fee,which ever is greater. ;
OR
If vou ore a contractor participating in the Permit Fee Account Svstem and have adequate /'unds check here
if vou want this orocessed throuQh vour accoant ❑
DATE 5/22/2013
.roBann�ss 315 W Murdock Ave, Oshkosh, WI '
owrrEx Walgreens ?
corrrxac�roR Y-R Inteqrity Inc. ;
ELECTRICAL CONTRACTOR No Power wirinq.
(Locally Licensed Electrical Contractor conducting the associated power wiring)
CHECK�ALL APPLICABLE
USE CATEGORY
❑Multi-Family(number of units_) �Commercial �Industrial
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CHECK�ALL APPLICABLE !
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❑Cameras ❑Motion �Telephone ❑Video ❑White Noise Systems �
�jData ❑Security ❑Television ❑Voice �
OFire Alatm ❑Sound ❑Other s
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DESCRIPTION OF ALL WORK BEING DONE j
Installing Utility Trench along Murdock in Customer Property from Siqn to ;
Buildinq and installinq Data line. s/s�l�a
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VALUE(lncluding labor and 1 materi Is for cable installation(s) $ 3300.00 i
APPLICANT SIGNATURE � /" • �
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